Hypertension is categorized into primary hypertension and secondary hypertension, and systolic blood pressure over 180mmHg belongs to grade 3 hypertension. Its treatment plan is as follows: 1, if the first discovery of high blood pressure reaches 180mmHg or more, it is recommended to go to the hospital hypertension specialist for relevant examination, to exclude secondary hypertension; 2, if it is secondary hypertension, there is a cause of hypertension, need to treat the primary disease to achieve the purpose of controlling the blood pressure; 3, if it is primary hypertension, it is necessary to use a combination of medications, commonly used drugs are ACEI or ARB, plus diuretics or ACEI, ARB combined with calcium antagonists, so that the patient’s blood pressure is controlled. Plus diuretics or ACEI, ARB combined with calcium antagonists, so that the patient’s blood pressure control below 140/90mmHg. In the case of young patients, the ideal blood pressure is 120/80 mmHg. Control blood pressure at the same time, need a comprehensive examination to rule out whether the patient is combined with hyperlipidemia, diabetes mellitus, to see whether the patient has cardiac function damage, renal damage, vascular damage, cerebral lesions, etc., to intervene to reduce the risk.